Active NPI
Tamara Griffith
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1982894093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18255
- Practice address
- 1239 Mount Vernon St
Orlando, FL 32803-5417 - Phone
- (407) 810-2773
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI1434 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA18255 | FL | Primary |
Addresses
Primary practice location
1239 Mount Vernon St
Orlando, FL 32803-5417
Mailing address
11901 Abess Blvd Apt 3235
Jacksonville, FL 32225-6038
Phone (904) 923-5943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA18255 | Other | FL | FLORIDA MEDICAL DOH LICENSE # |
| SI1434 | Other | FL | FLORIDA MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI1434 | FL | MD | Speech-Language Assistant |
| SA18255 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1982894093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 ABESS BLVD APT 3235",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256038",
"telephone_number": "904-923-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 MOUNT VERNON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035417",
"telephone_number": "407-810-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI1434",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL DOH LICENSE #",
"identifier": "SA18255",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE #",
"identifier": "SI1434",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.